About
Dr. Alexandra Rebecca Mallin is an experienced Emergency Room Doctor, committed to delivering high-quality acute medical care to patients presenting to the Emergency Department. Practicing at OSI CLINIC in Hamilton, ON, she is a key member of the frontline medical team serving the community. She adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Mallin's role involves the rapid assessment, diagnosis, and stabilization of a broad spectrum of urgent and emergent medical, surgical, and traumatic conditions in patients of all ages. This includes managing time-sensitive situations, performing necessary emergency procedures, and coordinating care effectively within the fast-paced ER environment. The Emergency Department operates 24/7 to provide care for urgent and life-threatening conditions. Patients are seen based on the severity of their condition, as determined by a triage process.
She graduated with a Medical Degree from Dalhousie University Faculty of Medicine in Canada and has over 19 years of experience working as an Emergency Room Doctor since 2005. Dr. Mallin is recognized as a Royal College of Physicians and Surgeons of Canada (RCPSC) Specialist by the College of Physicians and Surgeons of Ontario (CPSO). Her extensive training and certification enable her to provide expert emergency medical care, ensuring that patients receive timely and appropriate treatment in critical situations.
Dr. Mallin's professional philosophy centers on rapid and accurate assessment in critical situations, delivering compassionate care under pressure, and fostering effective teamwork and communication within the multidisciplinary ER team. She is committed to adhering to evidence-based emergency medicine protocols, prioritizing patient safety, and advocating for patient needs in acute settings. Her dedication is to provide the community of Hamilton with reliable, efficient, and empathetic emergency care, always in the English language.
Dr. Alexandra Mallin is experienced in assessing and managing a wide array of acute medical and surgical emergencies, including (but not limited to):
Acute Cardiovascular Conditions
Dr. Mallin manages involving sudden and critical conditions affecting the heart and blood vessels that require immediate medical attention and intervention.
- Acute Heart Failure Exacerbation: Addressing acute pulmonary edema and potential cardiogenic shock associated with severe heart failure exacerbations.
- Chest Pain (e.g., suspected Acute Coronary Syndrome, Myocardial Infarction): Initial emergency management of acute coronary syndromes, including EKG interpretation, timely administration of aspirin and antiplatelet agents, cardiac biomarker assessment, and reperfusion strategies if indicated.
- Aortic Dissection / Aneurysm (Suspected): Managing potential complications such as malperfusion syndromes.
Acute Respiratory Conditions
Dr. Mallin manages focusing on restoring adequate oxygenation and ventilation in patients with emergent pulmonary issues.
- Asthma Exacerbation / Status Asthmaticus: Treatment of life-threatening status asthmaticus, which may necessitate continuous nebulization, magnesium sulfate, or non-invasive/invasive ventilatory support.
- COPD Exacerbation: Careful assessment for signs of respiratory failure and the need for supplemental oxygen or ventilatory support (non-invasive or invasive).
Trauma and Musculoskeletal Injuries
Dr. Mallin manages specializing in the initial resuscitation and care of patients with significant or multiple traumatic injuries.
- Minor and Major Lacerations, Abrasions, and Burns: Initial management of first, second, and some third-degree thermal, chemical, or electrical burns, including cooling, pain control, and dressing application.
- Head Trauma / Concussion (Mild Traumatic Brain Injury): Diagnosis and initial management of concussions (mild traumatic brain injuries), emphasizing patient and family education regarding symptoms, expected recovery course, cognitive and physical rest, and criteria for graduated return-to-play/activity/school.
- Multiple Trauma / Polytrauma (Initial Stabilization and Resuscitation): Systematic and prioritized trauma assessment following Advanced Trauma Life Support (ATLS) protocols to rapidly identify and address immediate life-threatening conditions (e.g., airway obstruction, tension pneumothorax, massive hemorrhage).
This list is not exhaustive. The Emergency Department is equipped to handle a broad spectrum of urgent health issues. If you believe you have a medical emergency, please proceed to the nearest ER or call emergency services.
- Fracture and Dislocation Management (Initial): Performing closed reduction of simple dislocations, often under procedural sedation, to restore anatomical alignment.
- Wound Care and Laceration Repair: Educating patients on proper wound care and signs of infection following repair.
- Chest Tube Insertion (Tube Thoracostomy): Surgical skill in performing chest tube insertion and managing the drainage system.
- Diagnosis of Life-Threatening Emergencies: Identifying and initiating immediate management for critical conditions such as acute myocardial infarction (heart attack), stroke (CVA), severe infections (sepsis), and acute respiratory failure.
- Resuscitation and Stabilization of Critically Ill Patients: Leading and coordinating resuscitation efforts for patients in cardiac arrest, shock, or severe respiratory distress.
- Central Venous Access and Arterial Line Placement: Skilled insertion of central venous catheters (CVCs) for indications such as rapid fluid resuscitation, administration of vasoactive medications, or hemodynamic monitoring in critically ill patients.
Note: This list outlines key areas of emergency medical care. The services provided by Dr. Mallin are tailored to the immediate needs of patients in acute situations.
All emergency medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant CAEP (Canadian Association of Emergency Physicians) and relevant acute care guidelines. Emergency care is prioritized based on medical urgency.
OSI CLINIC is situated in Hamilton's North End, within the Beasley neighbourhood. The ER is conveniently located near Downtown Dundas and is accessible via Hamilton Street Railway (HSR). The hospital Emergency Department is fully accessible to all patients, with ample hospital parking available, including designated spots for emergency access. Follow hospital signage for ER patient drop-off and parking. This facility serves as a critical access point for urgent medical care within the community and is integrated with comprehensive hospital services to provide seamless patient care around the clock.
- What should I bring with me if I need to go to the Emergency Room where Dr. Mallin works?
- If you need to visit the ER, it's very helpful to bring your provincial health card and any other relevant insurance information. A complete list of your current medications (including name, dosage, and how often you take them), any known drug allergies, and a brief summary of your significant medical history (like major illnesses, past surgeries, or chronic conditions) can greatly assist Dr. Mallin and the ER team. If possible, also bring contact information for your family doctor. For children, their immunization record can be useful if it's readily available.
- What is the primary role of an Emergency Room Doctor like Dr. Mallin?
- An Emergency Room Doctor, such as Dr. Mallin, is a physician specifically trained to provide immediate medical evaluation and treatment for a wide spectrum of acute illnesses and injuries, ranging from minor concerns to critical, life-threatening emergencies. Their core role involves rapid assessment (triage and diagnosis), stabilization of vital functions, performing necessary emergency procedures, and making crucial decisions about patient disposition (admission, transfer, or discharge). As a an Emergency Room Doctor trained to provide immediate medical care for a wide range of acute illnesses and injuries., Dr. Mallin is highly skilled in managing the unpredictable and often high-pressure environment of the emergency department, working collaboratively with a team of nurses, technicians, and other specialists.
- Will my family doctor be informed about my visit to the ER with Dr. Mallin?
- Yes, it is standard practice for the Emergency Room, including when you are seen by Dr. Mallin, to send a detailed summary of your ER visit to your designated family doctor, provided you share their contact information during registration. This report typically includes the reason for your visit, significant findings, any treatments administered, and recommendations for follow-up. This ensures continuity of care and keeps your family doctor informed about important changes in your health status. Following up with your family doctor after an ER visit is usually recommended.
- When should I see Dr. Mallin in the ER versus my family doctor for a health issue?
- Dr. Mallin and the Emergency Room team are best equipped to handle acute, severe, or potentially life-threatening medical conditions. For ongoing care, management of chronic illnesses (unless there's an acute exacerbation), routine check-ups, preventative health measures, prescription refills for stable conditions, and non-urgent health concerns, your family doctor is the most appropriate healthcare provider. They offer continuity of care and have a comprehensive understanding of your overall health history. If your condition is not an emergency, consulting your family doctor or a walk-in clinic is generally recommended.
- What is the role of the triage nurse when I arrive at the ER?
- When you arrive at the Emergency Room, a specially trained triage nurse will be one of the first healthcare professionals you see. Their role is to quickly assess the urgency of your medical condition based on your symptoms, vital signs, and a brief history. This assessment helps determine your priority for treatment relative to other patients. The triage nurse ensures that the most critically ill or injured patients are seen by an ER doctor like Dr. Mallin as quickly as possible. They may also initiate some basic tests or interventions while you wait.
- When should I go to the Emergency Room (ER) where Dr. Mallin works, versus seeing my family doctor or going to a walk-in clinic?
- Deciding between the ER and other care options depends on severity. The Emergency Room is the correct place for acute, potentially severe conditions like difficulty breathing, chest pain, signs of a stroke, major trauma, severe allergic reactions, or uncontrolled bleeding. For ongoing health issues, minor ailments, or routine care, your family doctor offers continuity. Walk-in clinics can handle less severe acute issues. Dr. Mallin and the ER staff are prepared for urgent and life-threatening situations; using the ER appropriately helps ensure timely care for those who need it most. If in doubt about a serious condition, seek emergency assessment.
OSI CLINIC
237 Barton Street East, PARKWOOD MAIN BLDG. Parkwood Institute
Hamilton, ON L8L 2X2
Hospital Main Line: (905) 527-4322
The hospital Emergency Department is fully accessible to all patients.
Dr. Mallin is a licensed Emergency Room Doctor regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. Emergency Room services are typically accessed by presenting directly to the Emergency Department or via ambulance (e.g., by calling 911) for urgent medical conditions. No direct referral is usually required to be seen in the ER by Dr. Mallin or the on-duty emergency team.
Verify Dr. Mallin's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Mallin-Alexandra-Rebecca/0172420-74690